Quality Assurance and Improvement Coordinator

The Quality Assurance and Improvement Coordinator plays a critical role in advancing the health center's quality performance by analyzing Health Effectiveness Data and Information Set (HEDIS) measures, leading health improvement initiatives, and ensuring compliance with regulatory and health plan requirements. This position serves as a key liaison between clinical teams, health plans, and executive leadership to improve patient outcomes and organizational quality metrics.

Work hours are Monday to Friday from 8:00 AM to 4:30 PM, with a 30 minute lunch.

ESSENTIAL DUTIES AND RESPONSIBILITIES: Listed below you will find essential duties and responsibilities to successfully perform this job. Reasonable accommodation will be granted, as necessary to perform the essential duties and function of this position.

• Analyze Health Effectiveness Data (e.g., HEDIS measures) to identify trends, gaps, and areas for improvement.
• Coordinate and oversee health initiatives across departments to enhance health effectiveness measures.
• Develop and implement health effectiveness monitoring systems to track quality assurance and improvement efforts.
• Communicate effectively and build strong partnerships with health plans, clinic managers, and internal departments.
• Ensure clinical operations meet compliance standards and health plan audit requirements.
• Organize and facilitate regular Quality Assurance and Improvement (QAI) Committee meetings.
• Prepare and deliver monthly health effectiveness reports to the QAI Committee and executive leadership.
• Maintain accurate and timely reports in compliance with health center policies and standards.
• Attend required trainings, meetings, and professional development sessions.
• Develop and train clinical staff on compliance adherence, health documentation standards, and health improvement initiatives.
• Maintain and safeguard the confidentiality of all quality assurance documentation and records.
• Review, organize, and analyze patient satisfaction surveys to identify service gaps and improvement opportunities.
• Participate in risk management activities to identify and mitigate organizational risks.
• Support and contribute to grant writing and reporting for quality improvement and health initiative funding.
• Utilize data analysis tools and EHR systems to support reporting, planning, and performance improvement activities.
• Travel from clinic to clinic to provide training, attend meetings, and perform clinic audits.
• Comply with employment, patient care and other health center policies and procedures
• Review and revised quality policies and procedures as instructed.  
• Perform other duties as assigned by management.

The requirements listed below are representative of the knowledge, skill, and/or ability required for this position.

• EDUCATION & EXPERIENCE
  • Master’s degree in health administration, public health or related field or a Bachelor's degree in nursing
  • 3 years of experience working in clinical setting
  • 1 year of experience handling HEDIS measure and quality metric.
• SKILLS & KNOWLEDGE
  • Strong understanding of HEDIS and other health effectiveness measures.
  • Experience with quality improvement processes and performance monitoring systems.
  • Proficiency in data analysis tools (e.g., Excel, Tableau, Power BI, etc.).
  • Familiarity with electronic health records (EHR) systems and clinical workflows.
  • Excellent communication, organizational, and interpersonal skills.
  • Ability to manage multiple priorities and deadlines with attention to detail.
  • Knowledge of risk management and grant writing principles is a plus.
  • Solid analytical, planning and communication skills.
  • Ability to work under minimal supervision, prioritize and following policies and procedures
  • Ability to problem solve, critically think and analyze data

PHYSICAL DEMANDS AND WORK ENVIRONMENT

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is frequently required to sit, use hands to handle or feel.  The employee is also required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision, and the ability to adjust focus.  The employee must also possess hearing and speech to communicate in person and over the phone. The noise level in the work environment is usually noisy.